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• J�h„ F/��i�F — I <br /> i • , � <br /> I - � <br /> I �vQ APPLICAYION FOR RIGHT-OF-WAY U�E PERMIT I <br /> I � Type or�rint Uearly with ink ' i <br /> �� �� PRESS HARD - `�OU ARE MAKING COPIES <br /> i PUBLIC WORKS - I <br /> EVERETT,WASHINGTO�I PERMIT NO. 7��3T i - I <br /> / <br /> IAPPLICANT(UNDERSIGNED)AND FIRM REPREStNTED, IF ANY: � <br /> � I <br /> HEREBV APPLIES FOR PERMISSION TO__ i <br /> I <br /> --- --- (0 2 I <br /> AT THE FOLLOWING LOCATION_ � SF/' G(J Ai/ ��U� -- <br /> DRAWING (WORK TO BE D�JNE) OR THREE PI aNS ATTACHED: i <br /> jE� �����c.�, �,�}-',,�, c�.,��;t,c.'� ,/��.u,(�-E'r� (,�`�'�w"- (0 lll-�t��. G�`� d� <br /> � <br /> �,�„� �,�.c�r-�-� `�Y�e,�- �.�-,�„�ec�-�- - <br /> }�L � I� � � �1 ,= � �► F1L C <br /> i <br /> � <br /> � <br /> � ��.4f ,.i��,i� I <br /> ; <br /> � DRIVEWAY SECTION <br /> PERMIT IS VALID FOR 60 DAVS � -+I <br /> COPY OF THIS APPLICATION TO BE POSTED i" LIP <br /> ON dOBSITE. ��� T �T 30"� <br /> CALL FOR INSPECTION 259=•B91 1 <br /> 24 HQURS BfiFORE CONSTRUCT�ON . � <br /> Tne 'undeisigned bwner �ereby egreas b�holU and�eeve harmless <br /> ' ' t�e City ol Everell Irom eny enE all cleims �or Oemages. costs. <br /> e�penses.or cfluses oi ncbon that mey arise bewuse ol lnstallation <br /> � �� and mainirn0rcn o� �he imp�ovemenl or other ng�bol-way use <br /> he�elo ap0��e0�oi ane lurl�er agrees lo remove same upon nobce <br /> Imm ihe City antl to replace pu�lm O�operry damagea IherPby. <br /> DEPARTMENT APPROVALSA�VI39jja <br /> I I <br /> SEWER LOM�nUNiCaTiONS � �� <br /> pRTINAGE TAA���C (/��\ ����_///��{���� <br /> � ���_�(.ih_ '- a!�—'1/ !' - / 1 � <br /> W�T[R <br /> PLf�NNING SIGNAi E Of APFUCANI ��� <br /> .a V' � T�0 ' �O /C.Q/2V/�lN f�Y� � <br /> s1�EEt aooqEss <br /> -{}'� �� �} I ) � TTL� �'4 /�cr'S�O� � <br /> d-^'�''�'��� JCT (J'-f"L- 1' l` rr�r -7 cirr ziv <br /> PPROV D P�G �SRU TION . OATE �z -�/r ZL�Q <br /> � . IELEPMONE NUMBER PLIEANAIE <br /> �� ' _ ���' ���� .q � i � � � � _ <br /> AP 0 CONSTRUC ' T� �A�� <br /> CONSTRUCTIONlAS RUILT " ,�E 7978 � <br />